Hubungan interdialytic weight gain (IDWG) dengan tekanan darah intradialitik pada pasien yang menjalani hemodialisis

Rindang Isnenti (Program Studi Sarjana Keperawatan, Sekolah Tinggi Ilmu Kesehatan Sukabumi)
Lia Novianty (Program Studi Sarjana Keperawatan, Sekolah Tinggi Ilmu Kesehatan Sukabumi)
Astri Zeini Wahida (Program Studi Sarjana Keperawatan, Sekolah Tinggi Ilmu Kesehatan Sukabumi)

Holistik Jurnal Kesehatan
Vol. 20 No. 5 (2026): Volume 20 Nomor 5

Background: Chronic kidney disease (CKD) is a global health problem requiring lifelong hemodialysis therapy. Excessive fluid accumulation between dialysis sessions, or Interdialysis Weight Gain (IDWG), poses a clinical challenge because it directly affects hemodynamic stability, particularly intradialysis blood pressure fluctuations. Purpose: To analyze the relationship between Interdialysis Weight Gain (IDWG) and intradialysis blood pressure in patients with chronic kidney disease. Method: This quantitative, observational, and analytical study involved 136 respondents at Sekarwangi Regional Hospital, selected using a total sampling technique. IDWG and blood pressure data were collected through direct observation during two hemodialysis sessions. Data were analyzed using the Chi-Square test with Continuity Correction (Yates). Results: This study found that 67.6% of respondents had severe IDWG (>3%), and 57.4% had intradialysis hypertension. Bivariate analysis showed a significant association between IDWG and intradialysis blood pressure (p = 0.000). Conclusion: There is a significant relationship between interdialysis weight gain (IDWG) and intradialysis blood pressure in patients with chronic kidney disease undergoing hemodialysis.   Keywords: Chronic Kidney Disease; Hemodialysis; Intradialysis Blood Pressure; Interdialysis Weight Gain (IDWG).